LINGAREDDY DEVIREDDY MD PC NPI 1225082654

NPI Information

  • NPI: 1225082654
  • Provider Name: LINGAREDDY DEVIREDDY MD PC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Former Legal Business Name: CARDIOVASCULAR PHYSICIAN PC
  • Address: 11900 E 12 MILE RD
    SUITE 103
    WARREN, MI
    ZIP 48093
  • Phone: (586) 574-0890

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NPI Details

LINGAREDDY DEVIREDDY MD PC is a cardiovascular disease internal medicine in Warren, MI. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. LINGAREDDY DEVIREDDY MD PC NPI is 1225082654. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Cardiovascular Physician Pc.

The provider's business location address is:

11900 E 12 MILE RD
SUITE 103
WARREN, MI
ZIP 48093-487
Phone: (586) 574-0890
Fax: (586) 574-0890

The provider's authorized official is Lingareddy Devireddy .
The authorized official title is Physician and has the following contact phone number (586) 574-0890.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 1/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease4301080674MICHIGANNo
2207RC0000XInternal MedicineCardiovascular Disease4301032513MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10N70490MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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